Individual
ANICIA JANN PELTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94235 MOORE ST, SUITE 412, GOLD BEACH, OR 97444-9699
(541) 247-4082
Mailing address
94235 MOORE STREET, SUITE 412, GOLD BEACH, OR 97444
(541) 247-4082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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